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Your Name
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Your Phone Number
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Which category are you submitting an application?
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Athlete
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Nominee's Name
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High School Attended/Worked
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Graduation Year
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Years of Service
Type of Service
Varsity Sports Played/Coached
Year(s) of Participation
e.g. - 5 years, 2007-2010
Attach Nominee's Athletic Career Resume
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Resumes should include honors, awards as well as high school, Collegiate and Professional information.
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Attach Letter of Recommendation
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Letters should include information on the nominee’s character, enthusiasm for his/her sport or service, continued involvement in sports and/or volunteerism, etc.
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Nominee's Mailing Address
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Nominee's Phone
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